Did Medicaid deny your power adjustable seat height?
Power adjustable seat height serves many purposes for clients such as allowing increased independence with transfers and enhancing performance/participation in someone’s activities of daily living. If you have encountered a situation where funding was denied and your medical documentation clearly shows the need for this option, follow these steps to begin the process of appealing the denial.
Check your documentation and follow these steps...
STEP 1: REVIEW THE DOCUMENTATION
- Make sure that the need for safe seat elevation was specifically addressed.
- Facilitate independent transfers
- Increases reach to help with your activities of daily living in the home,etc.
- Does it include the following?
- Description of your current level of function without power adjustable seat height
- Identifies how power adjustable seat height will improve function
- Your goals for use of the power seat elevation system
STEP 2: MAKE SURE THE DOCUMENTATION IS ORGANIZED AND EASY TO FOLLOW.
- Highlight any important topics or areas that may have been overlooked in the initial determination.
STEP 3: CALL OR MEET WITH THE FUNDING SOURCE TO SHOW WHAT SAFE SEAT ELEVATION ALLOWS YOU TO ACHIEVE.
- It’s important for Medicaid to not only know what you CAN do with safe seat elevation, but also what you CANNOT do without it.
- It can aid in transfers and allow greater access with the additional seat elevation
- Without it, it can limit access and can decrease independence
STEP 4: ASK FOR A RECONSIDERATION ON YOUR SAFE SEAT ELEVATION
- States are all trying to cut costs and reduce spending.
- A safe seat elevation system can achieve this if it allows greater independence. The state can save considerable money if the need for other services is reduced with a one-time investment in a power adjustable seat height system